Provision of Adequate Pain Management to a Young Adult Oncology Patient Presenting with Aberrant Opioid-Associated Behavior: A Case Study

2019 ◽  
Vol 8 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Kelly R. Peck ◽  
Jennifer L. Harman ◽  
Doralina L. Anghelescu
Keyword(s):  
Pain Management ◽  
Young Adult ◽  
Oncology Patient ◽  
Young Adult Oncology ◽  
Adequate Pain Management

scholarly journals Growing up different in Neolithic China: A contextualised case study and differential diagnosis of a young adult with skeletal dysplasia

2020 ◽  
Vol 28 ◽  
pp. 6-19 ◽  
Author(s):  
Siân E. Halcrow ◽  
Melanie J. Miller ◽  
Anne Marie E. Snoddy ◽  
Wenquan Fan ◽  
Kate Pechenkina
Keyword(s):  
Differential Diagnosis ◽  
Young Adult ◽  
Skeletal Dysplasia ◽  
Growing Up

scholarly journals Understanding Technology and Human Interaction to Catalyze Oncofertility and Adolescent and Young Adult Oncology Research

2011 ◽  
Vol 1 (4) ◽  
pp. 160-163 ◽  
Author(s):  
Kate E. Waimey ◽  
Angela D. Krausfeldt ◽  
Robert L. Taylor ◽  
Harlan D. Wallach ◽  
Teresa K. Woodruff, on behalf of the Oncofert
Keyword(s):  
Young Adult ◽  
Human Interaction ◽  
Adolescent And Young Adult ◽  
Oncology Research ◽  
Young Adult Oncology

scholarly journals Acute Monoarthritis in an Immunocompetent Young Adult - Septic Arthritis - A Case Study

2021 ◽  
Vol 39 ◽  
pp. S48
Author(s):  
J. Vignesh Chandran ◽  
R. Kesavan ◽  
C. Nithya ◽  
C.P. Ramani
Keyword(s):  
Young Adult ◽  
Septic Arthritis

scholarly journals Exploring and Expanding the Category of ‘Young Workers’ According to Situated Ways of Doing Risk and Safety—a Case Study in the Retail Industry

2013 ◽  
Vol 3 (3) ◽  
pp. 219 ◽  
Author(s):  
Mette Lykke Nielsen ◽  
Johnny Dyreborg ◽  
Pete Kines ◽  
Kent J. Nielsen ◽  
Kurt Rasmussen
Keyword(s):  
Young Adult ◽  
Individual Characteristics ◽  
Skilled Workers ◽  
School Dropouts ◽  
Cognitive Limitations ◽  
Age Related ◽  
Group Interviews ◽  
Student Workers ◽  
Retail Workers

Young adult workers aged 18–24 years have the highest risk of accidents at work. Following the work of Bourdieu and Tannock, we demonstrate that young adult workers are a highly differentiated group. Accordingly, safety prevention among young adult workers needs to be nuanced in ways that take into consideration the different positions and conditions under which young adult workers are employed. Based on single and group interviews with 26 young adult workers from six various sized supermarkets, we categorize young adult retail workers into the following five distinct groups: ‘Skilled workers,’ ‘Apprentices,’ ‘Sabbatical year workers,’ ‘Student workers,’ and ‘School dropouts.’ We argue that exposure to accidental risk is not equally distributed among them and offer an insight into the narratives of young adult workers on the subject of risk situations at work. The categorizations are explored and expanded according to the situated ways of ‘doing’ risk and safety in the working practices of the adult workers. We suggest that the understanding of ‘young’ as an age-related biological category might explain why approaches to prevent accidents among young employees first and foremost include individual factors like advice, information, and supervision and to a lesser degree the structural and cultural environment wherein they are embedded. We conclude that age cannot stand alone as the only factor in safety prevention directed at workers aged 18–24 years; if we do so, there is a risk of overemphasizing age-related individual characteristics such as awareness and cognitive limitations before structural, relational, and hierarchical dimensions at the workplace.

scholarly journals Far Beyond the Gay Village: LGBTQ Urbanism and Generation in Montréal’s Mile End

2021 ◽  
pp. 289-306
Author(s):  
Julie A. Podmore
Keyword(s):  
Young Adult ◽  
Social Class ◽  
Gender Identity ◽  
Inner City ◽  
Urban Space ◽  
Qualitative Case Study ◽  
And Gender ◽  
The Relationship

AbstractResearch on LGBTQ neighbourhood formation in the urban West suggests that new patterns of community and identity are reshaping the queer inner-city and its geographies. As gay village districts “decline” or are “de-gayed” and new generations “dis-identify” with the urban ideals that once informed their production, LGBTQ subcultures are producing varied alternatives in other inner-city neighbourhoods. Beyond the contours of ethno-racialization and social class, generational interpretations of LGBTQ urbanism—subcultural ideals regarding the relationship between sexual and gender identity and its expression in urban space—are central to the production of such new inner-city LGBTQ subcultural sites. This chapter provides a qualitative case study Montréal’s of Mile End, an inner-city neighbourhood that, by the early 2010s, was touted as the centre of the city’s emerging queer subculture. Drawing on a sample of young-adult (22 to 30 years) LGBTQ-identified Mile Enders (n = 40), it examines generational shifts in perceptions of sexual and gender identity, queer community and neighbourhoods. The chapter concludes with a discussion of the implications of queer Mile End for theorizing the contemporary queer inner-city.

Pain Management in the Cancer Patient

1998 ◽  
Vol 11 (5) ◽  
pp. 349-373 ◽  
Author(s):  
Kristi L. Lenz ◽  
Eileen M. Marley
Keyword(s):  
Pain Management ◽  
Cancer Patient ◽  
Cancer Pain ◽  
Pain Control ◽  
Cancer Pain Management ◽  
Basic Principles ◽  
Adequate Pain Management

Of the over one million patients diagnosed with cancer each year, 30 percent will have pain at diagnosis and up to 85 percent will have pain as their disease progresses. Adequate pain management continues to be hindered by multiple patient-and clinician-related barriers; however, with increased awareness and knowledge, the pharmacy practitioner can play a key role in facilitating pain management. This review will focus on the mechanisms of cancer pain, the role of non-opioids, opioids, and adjuvant agents in the treatment of cancer pain, and the basic principles of cancer pain management that allow 70 to 90 percent of patients to achieve excellent pain control.

The experience of pain among cancer patients at the University of the Philippines: Philippine General Hospital Cancer Institute—A cross-sectional study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24078-e24078
Author(s):  
Harold Nathan C. Tan ◽  
Rogelio Nona Velasco ◽  
Lance Isidore Garcenila Catedral ◽  
Michael Ducusin San Juan ◽  
Corazon Ngelangel ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
Pain Control ◽  
Severe Pain ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Pain Interference ◽  
Cancer Center ◽  
Cross Sectional ◽  
Adequate Pain Management

e24078 Background: Pain is one of the most common and dreaded sequelae of cancer, occurring in approximately 55% of patients. The experience of pain takes a toll on the patients’ quality of life. However, many patients do not receive adequate pain management. This study aimed to determine the prevalence of pain, its severity, and the adequacy of pain management among cancer patients in the Philippines. Methods: A cross-sectional study was conducted at a representative cancer center in the Philippines, enrolling 351 cancer patients. Pain severity was assessed using the Brief Pain Inventory-Short Form (BPI-SF) Filipino. The BPI evaluates pain severity and its impact on daily functioning (pain interference). To ascertain the adequacy of pain control, the pain management index (PMI) was calculated by subtracting the subtracting the severity of pain reported by the patient from the type of analgesic treatment received. Logistic regression analysis was conducted to evaluate the factors associated with worst pain and adequacy of pain management. Data were analyzed using Stata version 16.0, with statistical significance set at p < 0.05. Results: Three hundred three cancer patients (86.3%) experienced pain. Approximately 3 out of 5 patients (n = 208) did not receive adequate pain control, and one-third of patients experienced severe pain (n = 121). Patients who reported severe pain interference (n = 110) had three times greater odds to experience severe pain (OR 3.2, 95% CI 1.82-5.61, p < 0.001). Those patients who had regular follow up were 65% less likely to experience severe pain (OR 0.35, 95% CI 0.16 – 0.78, p = 0.01). Patients who used pain medications (n = 196) were 14 times more likely to experience adequate pain management (OR 14.19, 95% CI 6.53 – 30.83, p < 0.001). Patients who were referred to pain service (n = 25) were seven times more likely to report adequate pain control (OR 6.62, 95% CI 2.50 – 17.56, p < 0.001). Conversely, those patients who reported a severe rating on total pain interference were 75% less likely to experience adequate pain management (OR 0.25, 95% CI 0.17 – 0.35, p < 0.001). Conclusions: Unexpectedly, there was a high prevalence of pain among cancer patients at a representative cancer center in the Philippines. Pain exerts a heavy toll on patients, affecting daily functioning. The undertreatment of pain discovered in this study (59% of cancer patients) is alarming. Timely pain evaluation can help identify the presence of pain and the need for appropriate use of analgesics. The assessment and management of pain is a critical component of cancer care that should not be neglected.

scholarly journals Impact of audit and feedback with action implementation toolbox on improving ICU pain management: cluster-randomised controlled trial

2019 ◽  
pp. bmjqs-2019-009588 ◽  
Author(s):  
Marie-José Roos-Blom ◽  
Wouter T Gude ◽  
Evert de Jonge ◽  
Jan Jaap Spijkstra ◽  
Sabine N van der Veer ◽  
...  
Keyword(s):  
Pain Management ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Audit And Feedback ◽  
Outcome Indicators ◽  
Pain Scores ◽  
Cluster Randomised ◽  
Randomised Controlled ◽  
Adequate Pain Management

BackgroundAudit and feedback (A&F) enjoys widespread use, but often achieves only marginal improvements in care. Providing recipients of A&F with suggested actions to overcome barriers (action implementation toolbox) may increase effectiveness.ObjectiveTo assess the impact of adding an action implementation toolbox to an electronic A&F intervention targeting quality of pain management in intensive care units (ICUs).Trial designTwo-armed cluster-randomised controlled trial. Randomisation was computer generated, with allocation concealment by a researcher, unaffiliated with the study. Investigators were not blinded to the group assignment of an ICU.ParticipantsTwenty-one Dutch ICUs and patients eligible for pain measurement.InterventionsFeedback-only versus feedback with action implementation toolbox.OutcomeProportion of patient-shift observations where pain management was adequate; composed by two process (measuring pain at least once per patient in each shift; re-measuring unacceptable pain scores within 1 hour) and two outcome indicators (acceptable pain scores; unacceptable pain scores normalised within 1 hour).Results21 ICUs (feedback-only n=11; feedback-with-toolbox n=10) with a total of 253 530 patient-shift observations were analysed. We found absolute improvement on adequate pain management in the feedback-with-toolbox group (14.8%; 95% CI 14.0% to 15.5%) and the feedback-only group (4.8%; 95% CI 4.2% to 5.5%). Improvement was limited to the two process indicators. The feedback-with-toolbox group achieved larger effects than the feedback-only group both on the composite adequate pain management (p<0.05) and on measuring pain each shift (p<0.001). No important adverse effects have occurred.ConclusionFeedback with toolbox improved the number of shifts where patients received adequate pain management compared with feedback alone, but only in process and not outcome indicators.Trial registration numberNCT02922101.

Ethical issues in the care of adolescent and young adult oncology patients

2019 ◽  
Vol 66 (5) ◽  
pp. e27608 ◽  
Author(s):  
Bryan A. Sisk ◽  
Kristin Canavera ◽  
Akshay Sharma ◽  
Justin N. Baker ◽  
Liza‐Marie Johnson
Keyword(s):  
Young Adult ◽  
Ethical Issues ◽  
Adolescent And Young Adult ◽  
Oncology Patients ◽  
Young Adult Oncology

Does meloxicam provide adequate pain management as a post-operative analgesic in canine ovariohysterectomy patients?

2020 ◽  
Vol 11 (4) ◽  
pp. 192-197
Author(s):  
Gavin Goldsbrough ◽  
Helen Reynolds
Keyword(s):  
Pain Management ◽  
Pain Score ◽  
Pain Scale ◽  
Short Term ◽  
Post Surgery ◽  
Pain Scores ◽  
Significant Difference ◽  
Time Frames ◽  
Adequate Pain Management

Background: Meloxicam is an analgesic agent with anti-inflammatory properties, commonly used in veterinary practices to treat a variety of different long-term medical conditions and is also used as a short-term pain relief following particularly traumatic surgeries. Aims: An observational study was conducted to determine whether meloxicam provides adequate pain management as a post-operative analgesic for canine ovariohysterectomies. Methods: 13 canines were admitted for ovariohysterectomy. Each patient was assessed using the Glasgow composite pain scale (CMPS) prior to surgery during the admission procedure, 15 minutes post-operatively, at discharge and at their post-operative check (POC) 3–5 days after surgery. Results: Data were statistically analysed to determine the overall effectiveness of meloxicam in reducing pain following canine ovariohysterectomy. The results showed a statistically significant difference (Kruskal-Wallis test: H3 =12.98, p=0.005) in pain scores between admission, 15 minutes post operatively, discharge and 3–5 days POC. The greatest decrease in pain score was between 15 minutes post-operatively and POC (Mann-Whitney U test: W=236, n=13, 13, p=0.0014) and between discharge and POC (Mann-Whitney U test: W=227, n=13, 13, p=0.0060). Overall, this demonstrated that there was an improvement in pain suggesting meloxicam is effective between these time frames. In addition, 69.2% (n=9) of patients in the study showed a pain score of 0, indicating an absence of pain, on their final POC. Statistical analysis was also used to determine if there was any difference in pain score between the 3, 4 or 5 day POC pain score. The results show there was no significant difference (Kruskal-Wallis test: H2 =0.090, p=0.638) suggesting that meloxicam's effectiveness was similar across this range of time post surgery. Conclusion: The results from the study indicate that meloxicam is an effective post-operative analgesic for canine patients undergoing an ovariohysterectomy.

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